Free Flap Surgery

The surgeon disconnects the tissue completely from its blood supply and reattaches the tissue to new blood vessels near your chest. In its most simplified concept free flap reconstructive surgery refers to the harvest of a mass of tissue supplied by a single artery and drained by one or more veins that is transferred from a distant site to a recipient bed where its vascularity is immediately reestablished through.

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Because of reattaching blood vessels free flap surgery typically takes longer than does pedicled flap surgery.

Free flap surgery. Inferior gluteal free flap. The commonly used free flaps include. With a success rate of over 95 percent free flap surgery recovery and procedure processes are among the safest reconstructive surgical operations.

President bush hwy methodist richardson cancer center richardson tx 75082. Since successful free flap surgery was first described for the head and neck by seldenberg 7 in 1959 this technique has become standard for the reconstruction of complex head and neck defects figure 62 1. Free flap surgery is the most advanced form of tissue reconstruction in plastic surgery.

The success of using a free flap in reconstruction after head and neck cancer surgery is 95 98 percent. Botox injections from a surgeon mckinney tx. Gluteal free flaps are of two types.

Forearm or thigh skin thin skin that can be used to rebuild the inside of the mouth and throat muscles from the abdomen or the back and fibula bone bone on the outer side of the leg. Flap harvest requires accurate dissection of perforator vessels which are often small through muscle or fascia to yield adipocutaneous flaps from a multitude of donor sites. The principle of this reconstruction involves removing tissue from one part of the body and detaching it from its blood supply and then reatttaching it to another part of the body and reconnecting its blood supply.

Head and neck surgeon mckinney tx. Flap is taken from the lower hip to reconstruct the breast. Free implies that the tissue is completely detached from its blood supply at the original location donor site and then transferred to another location recipient site and the circulation in the tissue re established by anastomosis of artery s.

Superior gluteal free flap. Head neck oncologic and reconstructive surgery 2805 e. Flap is taken from the upper hip to reconstruct the breast.

Free flap reconstruction does not seem to palliate the effect of the loss of functional tongue base volume as regards swallowing related quality of life. Our results imply that the volume of tongue base resection is a major factor in swallowing and aspiration related quality of life following tongue resection and free flap reconstruction. Free flap extraction is necessary for surgical head and neck reconstructions.

Microvascular free flap surgery. Gluteal free flap uses the flap from the hips around the buttocks for the reconstruction of breasts. The terms free flap free autologous tissue transfer and microvascular free tissue transfer are synonymous terms used to describe the transplantation of tissue from one site of the body to another in order to reconstruct an existing defect.

Wherever there is an ample supply of blood a free flap can be extracted and relocated to any other part of the body. Free perforator flaps are perfused by fascial or myocutaneous perforators and evolved as a refinement of conventional myocutaneous free flaps.

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